THE COMPARISON OF ANALGESIC EFFECTIVINESS OF BOLUS AND CONTINUOUS INFUSION VIA EPIDURAL CATHETER AND PARENTERAL SYSTEMIC ANALGESIA AFTER CORRECTION OF PECTUS DEFORMITIES

Sedat GÜRKÖK, Mehmet DAKAK, Ali ÖZUSLU, Onur GENÇ, Alper GÖZÜBÜYÜK, Rauf GÖRÜR, Kunter BALKANLI

Gülhane Askeri Hastanesi Göğüs Cerrahi Anabilim Dalı, ANKARA

54 patients were operated for pectus deformity at GATA (Gülhane Military Medical Academy) and were divided into three groups from the point of used pain control method. In the first group (n = 15), 20 cc 0.25% bupivacaine was injected to the pericondrium and the subcutaneous tissue, and additionly an epidural catheter was inserted. Initially, 4 cc 0.25% bupivacaine + 1 cc 0.05% fentanil + 5 cc 0.9% physiologic serum was given via epidural catheter and as needed additionly dose was given in a bolus manner. In the second group (n = 18), 1-2 mg/kg/h 0.25% bupivacaine + 1-2 mcg/kg/h 0.05% fentanil was given as continuous infusion via epidural catheter. In the third group (n = 21), metamizol sodium (intravenously) and diclofenac sodium (intramuscularly) was used. All patients were evaluated by verbal analog pain scala.

In the point of analgesia effectiveness, an excellent analgesia was determined in the second group. In the third group the worse analgesia control was maintained. We needed more additional analgesia dose in this group.

In conclusion, local bupivacaine application intraoperatively and continuous epidural bupivacaine + fentanil infusion method is the most safe and effective method in postoperative pain control.

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